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The Effects of Vision and Hearing Function on the Quality of Life in the Elderly

노인의 시각과 청각기능이 삶의 질에 미치는 영향

  • Kim, Ki-Sun (Dept. of Technical Education, Sehan University) ;
  • Shin, Eun-Yeong (Dept. of Speech-Language Pathology & Audiology, Sehan University) ;
  • Joo, Seok-Hee (Dept. of Optometry & Vision Science, Sehan University)
  • 김기선 (세한대학교 기술교육과) ;
  • 신은영 (세한대학교 언어치료청각학과) ;
  • 주석희 (세한대학교 안경광학과)
  • Received : 2015.10.13
  • Accepted : 2015.12.11
  • Published : 2015.12.31

Abstract

Purpose: The purpose of this study was to investigate vision and hearing loss and knowing whether the effect of those will be on the overall quality of life in the elderly people. As a result, it would like to provide a basis for eye health policy and vision & hearing rehabilitation program for the elderly people. Methods: The participants of this study consist of 50 elderly people who are 65 years old and over(Male:19, Female:31). Vision and hearing function were measured by distance vision acuity, refraction error diopter, and pure tone audiometry. Quality of life was measured by WHOQOL-BREF (World Health Organization Quality of Life-BREF), SGDS (Short form of Geriatric Depression Scale), MMSE-K (Korean version of Mini-Mental State Examination). Results: Depending on the distance vision was declining, The psychological health and overall quality of life had decreased significantly(p<.05). In mild hyperopia and myopia eyes compared to normal eyes, WHOQOL-BREF and SGDS showed negative results. but There was no statistically significant difference(p>.05). As hearing loss increases, WHOQOL-BREF, SGDS, and MMSE-K showed negative results, but there was no statistically significant difference(p>.05). Distance vision showed a low correlation with coefficient .36(p<.05) and .38(p<.01) in physical health and overall quality of life. Hearing showed a low correlation with coefficient -.30(p<.05) in cognitive function. Conclusions: Vision and hearing loss in the Elderly have negative effects on quality of life, depression, and cognitive function.

목 적: 노인의 시각과 청각 기능을 검사하여 시력저하와 청력손실이 노인의 전반적인 삶의 질에 미치는 영향을 파악하여 노인을 대상으로 한 안보건 정책과 시 청각 재활프로그램의 기초 자료를 마련하고자 한다. 방 법: 65세 이상 노인 50명(남: 19명, 여: 31명)을 대상으로 평가하였다. 시각과 청각 기능검사는 원거리 시력검사, 굴절이상도, 순음청력검사를 시행하였고, 삶의 질 검사는 WHOQOL-BREF(World Health Organization Quality of Life-BREF), SGDS(Short form of Geriatric Depression Scale), MMSE-K(Korean version of Mini-Mental State Examination)를 통하여 측정하였다. 결 과: 원거리시력이 저하됨에 따라 심리적인 건강과 전반적인 삶의 질이 감소되는 유의미한 결과를 보였다(p<.05). 경도 원시와 경도 근시안에서 WHOQOL-BREF와 SGDS는 정상에 비해 부정적인 결과를 보였으나 통계적으로 유의미한 차이를 보이지는 않았다(p>.05). 청력손실이 심할수록 WHOQOL-BREF, SGDS, MMSE-K의 평가 결과가 부정적으로 나타났으나 통계적으로 유의미한 차이를 보이지 않았다(p>.05). 원거리시력은 신체적 건강과 전반적인 삶의 질에서 상관계수 .36(p<.05)과 .38(p<.01)로 낮은 상관관계를 보였고, 청력도 인지기능 점수와 상관계수 -.30(p<.05)로 낮은 상관관계를 나타냈다. 결 론: 노인의 시각과 청각의 기능저하는 삶의 질, 우울, 인지기능에 부정적인 영향을 미치는 것으로 나타났다.

Keywords

Acknowledgement

Supported by : 세한대학교

References

  1. National Statistical Office: Elderly Statistics 2014. Available at http://sgis.kostat.go.kr/publicsmodel/, pp. 3-4, 2014.
  2. Cha KJ, Eun Y: The Study on Functional State, Self Efficacy, and Life Satisfaction in the Elderly with Decreased Visual. The Journal of Muscle and Joint Health. 20(3), 225-234, 2013. https://doi.org/10.5953/JMJH.2013.20.3.225
  3. Kim HJ, Kim BH, Kim OS: The Effect of Visual and Hearing on Depression and Cognitive Function in Community-dwelling Elderly. Korean Journal of Adult Nursing. 23(6), 584-594, 2011.
  4. Jeon EY: Functional status and long-term care services for the commnity-dwelling low-income elderly. The Korean Journal of Rehabilitation Nursing. 12(2), 92-101, 2009.
  5. Lee BL, Wilson MR: Health-related Quality of Life in patients with cataract and glaucoma. Journal of Glaucoma. 9, 87-94, 2000. https://doi.org/10.1097/00061198-200002000-00015
  6. Song MS: Effects of the sensory impairment on functioning levels of the elderly. The Journal of Korean Academic of Nursing. 23(4), 678-693, 1992.
  7. Bernabei V, Morini V, Moretti F et al.: Vision and hearing impairments are associated with depressive-anxiety syndrome in Italian elderly. Aging and Health. 15(4), 467-474, 2011. https://doi.org/10.1080/13607863.2011.562483
  8. Clemons TE, Rankin MW, McBee WL: Cognitive impairment in the age-related eye disease study. Archives of Opthalmology. 124(4), 537-543, 2006. https://doi.org/10.1001/archopht.124.4.537
  9. Saito HN, Nishiwaki Y, Michicawa T et al.: Hearing handicap predicts the development of depressive symptoms after 3 years in older community-dwelling Japaness. Journal of the American Geriatrics Society. 58(1), 93-97, 2010. https://doi.org/10.1111/j.1532-5415.2009.02615.x
  10. Lin FR: Hearing loss and cognition among older adults in the United States. The Journals of Gerontology. Biological Sciences and Medical Sciences. 66, 1131-1136, 2011.
  11. Hickson L, Worall L: Hearing impairment, disability, and handicap in older people. Critical reviews in Physical and Rehabilitation Medicine. 9(3&4), 219-243, 1997. https://doi.org/10.1615/CritRevPhysRehabilMed.v9.i3-4.30
  12. WHO group: Development of the World Health Organization WHOQOL-BREF Quality of life assessment. Psychological Medicine. 28, 551-558, 1998. https://doi.org/10.1017/S0033291798006667
  13. Min SK, Kim KI, Lee CI et al.: Development of the Korean version of WHO quality of life scale and WHOQOL-BREF. Quality of Life Researc. 11(6), 593-600, 2002. https://doi.org/10.1023/A:1016351406336
  14. Yeasavage JA, Brink TL, Rose TL et al.: Development and validation of a geriatric depression screening scale: A preliminary report. Journal of Psychiatric Research. 17, 37-49, 1983.
  15. Sheikh VI, Yesavage VA: Geriatric Depression Scale (GDS): Recent evidence and development of shorter version. In Brink TL(eds.), Clinical Gerontology: A guide to assessment and intervention. New York, NY: Haworth. 1986.
  16. Cho MJ, Bae JN, Suh GH et al.: Validation of Geriatric Depression Scale, Korean Version(GDS) in the Assessment of DSM-III -R Major Depression. Journal of Korean Neuropsychiatric Association. 38(1), 48-63, 1999.
  17. Kwon YC, Park JH: Korean version of mini-Mental State Examination (MMSE-K) Part I: Development of the test for the Elderly. Journal of Korean Neuropsychiatric Association. 28(1), 125-135, 1989.
  18. Chou KL, Chi I : Combined effect of vision and hearing impairment on depression in elderly Chinese: International Journal of Geriatric Psychiatry. 19, 825-832, 2004. https://doi.org/10.1002/gps.1174
  19. Shin EY : The Standards Quality of Life Scales for Hearing Handicap of the Elderly. Korean Academy of Audiology. 9(2), 165-174, 2013.
  20. Hwang JH, Shin EY, Kim JS: A Study on Hearing Self-status and Aural Rehabilitation Program Needs of the Elderly who Attend Geriatric Welfare. Korean Academy Audiology. 9(2), 175-189, 2013.
  21. Smith SL, Bennett LW, Wilson RH: Prevalence and characteristics of dual sensory impairment (hearing and vision) in a veteran population. J Rehabil Res Dev. 45(4), 597-609, 2008. https://doi.org/10.1682/JRRD.2007.02.0023
  22. Berry P, Mascia J, Steinman BA: Vision and hearing loss in older adults: Double trouble. Care Manag J. 5(1), 35-40, 2004. https://doi.org/10.1891/cmaj.5.1.35.61260
  23. Shin EY, Cho SJ, Joo SH: The Characteristics of Vision and Hearing for Elderly People in Jeallanam-do. Korean J. Vis. Sci. 16(4), 419-428. 2014.
  24. World Health Organization: International classification of functioning disability and health, Geneva. 2001.